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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Chest Pain In The Sternum?

I am a little concerned about my heart. For a couple of weeks now I have intermittent pain in the chest, although it does not feel like heart pain, it s more centered on my sternum. Every once in a while I have a heartbeat that feels abnormally large; more like a thud but it returns to normal immediately after. Now, I feel a buzzing, which I am assuming is just the blood flow. I don t know if I m just being hyper-conscious of things since I m slightly concerned. I don t experience shortness of breath during the day or anything, and I work out 4-5 times a week, including with a personal trainer, and have never felt anything irregular or alarming. I have been smoking cigarettes more often these past few days since the holiday weekend. I just don t know if I m being irrational or if there s something I should look into? I should note that I just recently had my heart rate taken and it was great: 116/78. Should I seek tests or anything?
Mon, 2 Jul 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There is a possibility of gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated.

You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Avoid smoking and alcohol if any.

You should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week.

Hope this helps you and get back if you have any doubts.
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What Causes Intermittent Chest Pain In The Sternum?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a possibility of gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Avoid smoking and alcohol if any. You should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts.